| NPI | 1689853004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WY LCSW #441) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WY 441) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-01 |